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General NPI Number Information
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NPI Number | 1891047452
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Entity Type | Organization
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Legal Business Name | DR BIJOU NFOR PODIATRY PC
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Dates
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Enumeration Date | 10/07/2012
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Last Update Date | 10/07/2012
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Provider Practice Location Address
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Address Line | 3340 BAYCHESTER AVE APT A
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City | BRONX
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State | NY
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Zip | 10475-1514
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Country | US
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Telephone | 718-975-0056
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Fax |
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Provider Business Mailing Address
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Address Line | 3340 BAYCHESTER AVE APT A
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City | BRONX
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State | NY
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Zip | 10475-1514
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Country | US
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Telephone | 718-975-0056
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Fax |
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Authorized Official
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Title or Position | PODIATRIST
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Name | DR. BIJOU DENNIS-NFOR
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Credential | DPM
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Telephone | 718-975-0056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 006418
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License Number State | NY
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